Association of Neighborhood Socioeconomic Disadvantage and Postpartum Readmission
Jenna Meiman, William A Grobman, David M. Haas, Lynn M Yee, Jiqiang Wu, Becky McNeil, Jun Wu, Brian Mercer, Hyagriv Simhan, Uma Reddy, Robert Silver, Samuel Parry, George R. Saade, Courtney D. Lynch, Kartik K Venkatesh
Abstract
We assessed whether neighborhood socioeconomic disadvantage, as measured by the Area Deprivation Index (ADI), was associated with an increased risk of postpartum readmission. This is a secondary analysis from nuMoM2b (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be), a prospective cohort of nulliparous pregnant individuals from 2010 to 2013. The exposure was the ADI in quartiles, and the outcome was postpartum readmission; Poisson regression was used. Among 9,061 assessed individuals, 154 (1.7%) were readmitted postpartum within 2 weeks of delivery. Individuals living with the most neighborhood deprivation (ADI quartile 4) were at increased risk of postpartum readmission compared with those living with the lowest neighborhood deprivation (ADI quartile 1) (adjusted risk ratio 1.80, 95% CI 1.11-2.93). Measures of community-level adverse social determinants of health, such as the ADI, may inform postpartum care after delivery discharge.